Audit

CVS
Insertion

4.B.1
The hospital can provide evidence that only properly trained personnel who demonstrate competence for insertion of central intravascular catheters are given this responsibility.

4.B.2
Hand Hygiene is performed before and after insertion.

4.B.3
Maximal barrier precautions are used for insertion (includes use of cap, mask, sterile gown, sterile gloves, and a sterile full body drape).

4.B.4
>0.5% chlorhexidine with alcohol is used for skin antisepsis prior to insertion (If contraindicated [e.g., neonatal population], tincture of iodine, an iodophor, or 70% alcohol can be used as alternatives).

4.B.5
Sterile gauze or sterile, transparent, semi-permeable dressing is used to cover catheter site (may not apply for well-healed tunneled catheters).

4.B.6
If the femoral site is used for central venous catheter insertion for adults, justification for this site is in the medical record.

4.B.7
Central venous line insertion and indication are documented.

Access and Maintenance

4.B.8
The hospital can provide evidence that only properly trained personnel who demonstrate competence for access and maintenance of central intravascular catheters are given this responsibility.

4.B.9
Hand hygiene is performed before and after manipulating catheter.

4.B.10
Dressings that are wet, soiled, or dislodged are changed promptly.

4.B.11
Dressing is changed with aseptic technique using clean or sterile gloves.

4.B.12
Access port is scrubbed with an appropriate antiseptic (chlorhexidine, povidone iodine, an iodophor, or 70% alcohol) prior to accessing.

4.B.13
Catheter is accessed only with sterile devices.

4.B.14
Need for central venous catheters is reviewed daily and documented with prompt removal of lines when no longer needed.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.